Active NPI
Maxine Leah Malekmehr
- Physician Assistant
- Colton, CA
National Provider Identifier
1871282152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA62662
- Practice address
- 1850 E Washington St
Colton, CA 92324-4621 - Phone
- (909) 887-2991
- Fax
- (909) 887-5694
- NPI assigned
- May 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA62662 | CA | Primary |
Addresses
Primary practice location
1850 E Washington St
Colton, CA 92324-4621
Mailing address
1850 E Washington St
Colton, CA 92324-4621
Phone (909) 887-2991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1850 E Washington St
Colton, CA 92324-4621
Phone (909) 887-2991
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62662 | CA | MD | Clinical Social Worker |
| PA62662 | CA | MD | Physician Assistant |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Inland Pain Medicine
- Pain Medicine (Anesthesiology) Physician
- Colton, CA
- NPI 1184766685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1871282152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 E WASHINGTON ST",
"city": "COLTON",
"state": "CA",
"postal_code": "923244621",
"telephone_number": "909-887-2991",
"fax_number": "909-887-5694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 E WASHINGTON ST",
"city": "COLTON",
"state": "CA",
"postal_code": "923244621",
"telephone_number": "909-887-2991",
"fax_number": "909-887-5694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALEKMEHR",
"first_name": "MAXINE",
"middle_name": "LEAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-03",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA62662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.